[rodggang]

Hello,

I was part of the team that implemented CPSI at our hospital about 2 years ago. I have worked in other hospitals as an agency or traveling nurse and have worked on other systems (mostly Meditec). I have returned to my home hospital with the CPSI system and work as a supervisor. I feel that we did not make it "Nursing Friendly" and I think we are not using it to the capacity it should be used (for all the money that was spent on this system).

Is anyone out there using CPSI? Are you scanning meds? Do you use eforms in ED? What frustrations are you seeing with staff? Will you share your staffing matrix on Med/Surg as far as Nursing hours per patient day. (One of the big selling points was that it wouldn't be faster, but safer for our patients, but we con't to staff as we did with paper charting)

Thanks,
Cris

[hajiagambo]

Originally Posted by rodggang

Hello,

I was part of the team that implemented CPSI at our hospital about 2 years ago. I have worked in other hospitals as an agency or traveling nurse and have worked on other systems (mostly Meditec). I have returned to my home hospital with the CPSI system and work as a supervisor. I feel that we did not make it "Nursing Friendly" and I think we are not using it to the capacity it should be used (for all the money that was spent on this system).

Is anyone out there using CPSI? Are you scanning meds? Do you use eforms in ED? What frustrations are you seeing with staff? Will you share your staffing matrix on Med/Surg as far as Nursing hours per patient day. (One of the big selling points was that it wouldn't be faster, but safer for our patients, but we con't to staff as we did with paper charting)

Thanks,
Cris

If I may ask, what is CPSI?

[lilcajunnurse]

WE USE CPSI AND I LOVE IT...WE HAVE POC AND IT WORKS WELL. I DONT CARE FOR THE WAY THE MAR IS SET UP THOUGH. IT IS KINDA HARD TO READ. AND I THINK SOME ERRORS COULD HAVE BEEN PREVENTED. BUT I LOVE THE CHARTING . YES, WE SCAN MEDS AND I THINK IT IS VERY SAFE. A GREAT WAY TO IDENTIFY PTS. ALL IN ALL , WE ALL LIKE THE SYSTEM AND HAVE BEEN USING IT FOR 8 MONTHS. I ALSO FIND IT EASY TO TEACH TO A NEW NURSE OR AN AGENCY NURSE.

[rodggang]

Thanks for the response. How big is your hospital? We are a Critical Access Hospital with 25 beds? What is your nurse to patient ratio on Med/Surg? Does your unit clerk put in Medication when Pharmacy isn't available or does your nurses do it? What do you use in the ED?

Thanks,
Cris

[lilcajunnurse]

We also are critical access. Our hospital has 17 beds and nurse to pt ratio is 6 (never more than 7). The nurse puts the medications in when pharmacy is not available(which is after 4pm). I work the night shift so I'm always putting my own meds in. We do have to have a second nurse verify each medication before we can give it. This sometimes is a problem b/c we often only have 2 nurses on Acute care. At night, we are down to 6 staff members in the hospital. 2 nurses on Acute, 2 nurses in ER and 2 CNAs(plus 1 ER doc). Acute can see the Er from the nurses station so we provide back up during codes or really bad traumas. And they back us up in time of need. We don't usually keep surgery pts...they usually come in as one-day surgery but every once in a while we keep if needed(such as a lap-chole turning into a open chole) other than that we don't have any major surgeries.We are in the process of building a new hospital and will be moving in soon(possibly Jan "08) and we get 25 beds (YAY!!)

[ourhouse51]

We use CPSI also. We are licensed for 115 beds but on med-surg normal census is about 15 per day. We scan meds and it is slowly coming up to where I want it to be (I am the CNO). We started out not even 40% on med verify but we are up to nearly 80% hospital wide. The only units that use med verify are Med surg, ICU, Post partum and Nursery. I have not yet implemented into L&D. I am having a hard time bringing them into the world of computer charting.

Staffing on med surg is no more than 7 pts per nurse. My cut off is 15 and they can call in another so it usually works out to 5 or 6 apiece.

When we first started CPSI we did lose a couple of older nurses who just flat refused to even try to use the system. For the most part though, it has worked well. The ER HATED it...now they are always afraid it will go down and they would have to go back to paper!

[rodggang]

Thanks for the info. about your hospital, ourhouse51. With 15 patients, how many CNA's do you staff with on Med/Surg? Do you have 24 hour pharmacy and if not, does the nurses put in the medications after hours and on weekends?

Thanks,
Cris